Lomonosov Psychology Journal
ISSN 0137-0936
eISSN 2309-9852
En Ru
ISSN 0137-0936
eISSN 2309-9852

Article

Sitkina E.V. (2019). Relation of individually-personal features of patients and commitment to the doctor's recommendations for oral hygiene. Moscow University Psychology Bulletin, 3, 141-160

Abstract

Relevance. In modern medicine, the question of an individual approach to the prevention and treatment of patients with dental diseases becomes relevant. Consideration of the personal characteristics of patients is necessary both for building a successful communication with a doctor and for predicting their adherence to medical recommendations.

Objectives. The study of the relationship of individual-personal characteristics of patients undergoing dental treatment, with a commitment to follow the recommendations of the doctor.

Methods and sampling. The study involved patients who underwent examination and therapeutic treatment in the dental clinic (63 women and 35 men). The study took place in two stages. At the first stage, the level of dental health was measured (by 5 indices) and a psychodiagnostic study was conducted to determine the individual and personal characteristics of patients (type of interpersonal relationships, character accentuation, extraversion / introversion); a questionnaire on attitudes towards dental health, developed by the staff at Pavlov’s University. Patients were given detailed instructions on proper oral hygiene. At the second stage (in a month), dental health indices were re-measured in patients.

Results. Adherence to the implementation of the recommendations of the dentist is associated with such personality characteristics as hyperthymic and demonstrative character traits, altruistic and authoritarian types of behavior in interpersonal relationships and extroversion. Insufficient level of care for dental health and low commitment to follow the recommendations of the dentist are associated with such personality features as anxious, fearful and dysthymic types of character accentuations and introversion.

Conclusion. The ability to predict patient behavior regarding compliance with the recommendations of the dentist based on the diagnosis of the psychological profile of patients opens up prospects for developing personalized prevention programs for each type of patient and introducing case management into the dental practice, in which an individual treatment plan is developed for each patient personal and social characteristics.

Sections: Empirical studies; Theoretical studies; Received: 04/06/2019
Accepted: 05/28/2019
Pages: 141-160
DOI: 10.11621/vsp.2019.03.141

Keywords: dental health; personality traits; adherence to recommendations;

Available Online 31.08.2019

Table 1.

Стоматологические индексы

Первый осмотр

M±SD

Повторный осмотр

M±SD

Мужчины (n=35)

Женщины (n=63)

Мужчины

(n=35)

Женщины (n=63)

CPITN (нуждаемость в лечении)

0.74±0.8

0.90±0.8

0.39±0.6

0.60±0.8

PMA (воспаление десны)

0.29±0.2

0.28±0.2

0.2±0.2

0.15±0.2

Saxer & Muhleman (оценка кровоточивости десен)

0.97±0.9

0.93±0.8

0.43±0.6

0.44±0.5

GreenVermillion (площадь зубного налета)

0.86±0.7

0.95±0.8

0.38±0.3

0.44±0.6

Silness & Loe (толщина зубного налета)

1.03±0.8

1.00±0.8

0.41±0.4

0.56±0.7

Table 2.

Стоматологические индексы

Тип акцентуации характера

Гипертимный

(n=12) 

Тревожно-боязливый

(n=11)

Дистимический

(n=14)

Демонстративный

(n=13)

Аффективно-экзальтированный

(n=12) 

Первое посещение врача-стоматолога

Green—Vermillion(площадь зубного налета)

‒.234*

-

-

‒.233*

-

PMA (воспаление десны)

‒.328**

-

-

‒.291**

‒.234*

CPITN(нуждаемость в лечении)

‒.223*

‒.219*

‒.218*

-

-

Silness & Loe

(толщина зубного налета)

‒.292**

-

-

-

-

Saxer & Muhleman(оценка кровоточивости десен)

‒.288**

-

-

-

-

Второе посещение врача-стоматолога

PMA (воспаление десны)

‒.206*

-

-

‒.222*

 

-

Saxer & Muhleman(оценка кровоточивости десен)

‒.279**

-

-

-

-

Table 3.

Стоматологические индексы

Экстраверсия

Интроверсия

Первое посещение врача-стоматолога

PMA (воспаление десны)

‒.262**

‒.338**

CPITN (нуждаемость в лечении)

-

‒.219*

Saxer & Muhleman(оценка кровоточивости десен)

‒.203*

‒.212*

Второе посещение врача-стоматолога

CPITN (нуждаемость в лечении)

-

‒.232*

For citing this article:

Sitkina E.V. (2019). Relation of individually-personal features of patients and commitment to the doctor's recommendations for oral hygiene. Moscow University Psychology Bulletin, 3, 141-160